What are the instructions for using Nicorette (nicotine) gum for smoking cessation?

Instructions for Using Nicorette Gum for Smoking Cessation

Nicorette gum should be used with the proper "chew and park" technique and in sufficient quantities (at least 9 pieces per day for the first 6 weeks) to maximize success in smoking cessation. 1

Dosage Selection

• Choose the right strength based on smoking habits:
  • Use 4 mg nicotine gum if you smoke your first cigarette within 30 minutes of waking up
  • Use 2 mg nicotine gum if you smoke your first cigarette more than 30 minutes after waking up 1
  • The 4 mg dose is particularly more effective for heavy smokers 2, 3

Proper Usage Schedule

Follow this 12-week schedule for best results:

• Weeks 1-6: Use 1 piece every 1-2 hours
• Weeks 7-9: Use 1 piece every 2-4 hours
• Weeks 10-12: Use 1 piece every 4-8 hours 1

Correct Chewing Technique

1. Do not eat or drink for 15 minutes before chewing or while using the gum
2. Chew the gum slowly until you feel a tingling sensation
3. Then "park" it between your cheek and gum
4. When the tingle fades, begin chewing again until the tingle returns
5. Repeat this process until most of the tingle is gone (about 30 minutes) 1

Important Usage Guidelines

• Use at least 9 pieces per day during the first 6 weeks to improve your chances of quitting 1
• If you experience strong or frequent cravings, you may use a second piece within the hour
• Do not use more than 24 pieces a day 1
• Do not continuously use one piece after another as this may cause side effects like hiccups, heartburn, or nausea 1
• Complete the full treatment course for best results 1

Special Considerations

• Pregnant women and people with cardiovascular disease: Should consult a healthcare provider before use 2
• Young people under 18: Should ask a doctor before use 1
• If you feel you need to use the gum for longer than the recommended period to avoid returning to smoking, consult your healthcare provider 1

Common Mistakes to Avoid

• Incorrect chewing technique: Swallowing nicotine reduces effectiveness and may cause side effects
• Insufficient dosage: Using fewer than 9 pieces per day during the first 6 weeks
• Stopping too soon: Not completing the full 12-week program 2

Effectiveness

• Clinical trials have shown that nicotine replacement therapy approximately doubles the chance of successfully quitting smoking 4, 2
• Combining nicotine gum with behavioral support can further increase quit rates 2

Remember that nicotine gum is not a magic cure - it helps reduce withdrawal symptoms and cravings but does not eliminate them entirely. For the best results, follow the instructions carefully and use the gum consistently throughout the recommended treatment period.